Kuvamile ukuzizwa udabukile futhi ucindezelekile ngezinye izikhathi. Kungokwemvelo ukuzwa le mizwa njengoba impilo iqhubeka. Kodwa ingabe lokhu kudabukisa, lokhu kusinda enhliziyweni yakho, lo muzwa wokungafuni ukwenza lutho kubonakala sengathi sekuthathe impilo yakho yonke amasonto noma izinyanga? Awusazizwa ufuna ukwenza izinto owawuzijabulela? Ingabe uqala usuku ngalunye uzizwa unesithukuthezi futhi unesizungu? Nokho, lokhu kungaba nguwe. Ake sixoxe ngokukhululekile ngalesi simo, okuwukucindezeleka.
Kuyini ngempela ukucindezeleka?
Into yokuqala okufanele uyiqonde ukuthi ukucindezeleka akusona isifo sengqondo noma isimo esiqanjiwe. Kuyisimo sangempela sezokwelapha esidinga ukwelashwa, njengesifo sikashukela noma umfutho wegazi ophakeme. Kuhlobene nezinguquko kumakhemikhali (ama-neurotransmitter) ebuchosheni bethu alawula imizwa, imicabango, kanye nokuziphatha.
Abantu abaningi banamahloni okukhuluma ngalokhu, besaba "ukuthi abantu bazocabangani." Abanye bahlupheka bodwa, bethi "badinga ukuba namandla." Abanye baphendukela otshwaleni nasezidakamizweni ukuze babalekele ubuhlungu obusezinhliziyweni zabo. Kodwa-ke, akukho neyodwa yalezi zixazululo ezifanele. Into ebaluleke kakhulu ukuhlonza ukugula ngokunembile nokufuna ukwelashwa okufanele.
Wazi kanjani ukuthi lokhu kuwukucindezeleka?
Uma ucabanga ukuthi kungenzeka ukuthi ubhekene nezimpawu zokucindezeleka, sicela ubone udokotela oqeqeshiwe. Ezimweni eziningi, udokotela wakho oyinhloko angakwazi ukuxilonga futhi aqale ukwelashwa kwalesi simo.
Udokotela wakho uzokubuza ngezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho oke waba nalezi zimo. Bangase bakucele nokuthi ugcwalise uhlu lwemibuzo. Bangase benze nokuhlolwa okuthile ukuze babone ukuthi zikhona yini ezinye izimo zomzimba ezingase zibangele izimpawu zakho. Isibonelo:
- I-thyroid Engasebenzi Kahle
- Ukuntuleka kwamavithamini kanye nezakhamzimba ezithile
- Ukusabela kweminye imithi noma izidakamizwa/utshwala
Okubalulekile: Uma izimpawu zakho zinzima kakhulu, noma uma unemicabango yokuzibulala noma yokuzilimaza wena noma abanye, bheka udokotela wezifo zengqondo ngokushesha ngaphandle kokungabaza.
Yiziphi izindlela zokwelapha eziphumelelayo zokucindezeleka?
Izindaba ezinhle ukuthi ukucindezeleka kuyisimo esingelapheka kakhulu. Kunezindlela eziningana zokwelapha. Imiphumela emihle kakhulu ivame ukutholakala uma kusetshenziswa ukwelashwa okukodwa noma ngaphezulu ndawonye. Izindlela ezimbili zokwelapha eziyinhloko yilezi:
1. Imithi
2. Ukwelapha ngokwengqondo noma ukwelashwa ngokukhuluma
Ake sibheke lezi ezimbili ngokwehlukana.
Imithi
Imithi esetshenziselwa ukwelapha ukucindezeleka isebenza ngokuyinhloko ngokubuyisela ibhalansi yamakhemikhali ebuchosheni alawula isimo sengqondo. Kunezinhlobo eziningana zale mithi. Udokotela wakho uzonquma imithi kanye nomthamo ofanele wena.
| Isigaba sezidakamizwa | Incazelo elula |
|---|---|
| Ama-SSRI nama-SNRI | Lena imithi esetshenziswa kakhulu enemiphumela emibi embalwa. Ilawula ukusebenza kwezithunywa zamakhemikhali ebuchosheni ezibizwa ngokuthi i-serotonin ne-norepinephrine. Isibonelo: i-Fluoxetine, i-Sertraline, i-Venlafaxine. |
| Ama-antidepressant e-Tricyclic (ama-TCA) | Lezi yizinhlobo zemithi ezindala kancane. Zinemiphumela emibi eminingi kune-SSRIs. Kodwa zingasebenza kangcono kwabanye abantu. Isibonelo: i-Amitriptyline. |
| Ama-MAOI | Lezi futhi ziyimithi ephumelelayo. Kodwa-ke, azisasetshenziswa kabanzi ngoba zidinga ukugwema ukudla okuthile (isib. ushizi obilisiwe) kanye neminye imithi lapho uzithatha. |
| Eminye Imithi | Ngezinye izikhathi, ngaphezu kwemithi yokucindezeleka, eminye imithi, njengemithi yokwelapha ingqondo engavamile, ingafakwa. Kukhona futhi nemithi yokwelapha emisha, njenge-Ketamine. |
Qiniseka ukuthi uyazikhumbula lezi zinto mayelana nemithi:
* Kungathatha amasonto amaningana (mhlawumbe 4-8) ukuthi imiphumela ephelele yomuthi izwakale. Ngakho-ke ungayeki ukuthatha umuthi ngoba nje kungekho mehluko emasontweni ambalwa okuqala.
* Kungathatha isikhathi ukuthola umuthi ofanele wena. Uma umuthi owodwa ungasebenzi, ungakhuluma nodokotela wakho mayelana nokushintshela komunye.
* Ungalokothi uyeke ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi izimpawu ezingakhululekile zibuye.
* Kubaluleke kakhulu kubazali nodokotela ukuqaphela lokhu, njengoba imicabango emibi inganda, ikakhulukazi ezinganeni nasebancane phakathi namasonto okuqala okuqala kokuthatha imithi.
Ukwelapha ngengqondo
Lokhu kufana nokwelashwa kwengqondo. Kuhilela ukukhuluma nomeluleki noma umelaphi oqeqeshiwe, ukuqonda imicabango yakho, imizwa yakho, kanye nokuziphatha kwakho, nokufunda ukuyilawula.
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Kukusiza ukuthi ubone imicabango emibi, engenangqondo bese uyishintsha ngemicabango engokoqobo neyakhayo.
- Ukwelashwa Kokuxhumana Nomuntu: Uyaqonda ukuthi ubudlelwano bakho nomndeni nabangane buthinta kanjani imizwa yakho futhi kukusiza ukuxazulula lezo zinkinga.
Kubalulekile ukuthola umuntu ozizwa ukhululekile ngaye, ukuze ukwazi ukukhuluma ngalokho okusengqondweni yakho ngaphandle kokwesaba noma ukungabaza. Lokhu kwelashwa kungahlala kusukela emavikini ambalwa kuya ezinyangeni eziningana.
Izinguquko zendlela yokuphila ziletha impumuzo enkulu!
Kanye nemithi kanye nokwelashwa kwengqondo, izinto ezilula ongazifaka ohlelweni lwakho lwansuku zonke zingakunikeza impumuzo enkulu ezimpawu zokucindezeleka.
- Ukuzivocavoca: Ukuzivocavoca okungenani imizuzu engama-30 nsuku zonke, njengokuhamba, ukugijima, noma ukubhukuda, kwandisa ukugeleza kwegazi ebuchosheni futhi kuthuthukisa isimo sengqondo. Ngokwezinye izifundo, ukuzivocavoca njalo kungaba yimpumelelo njengeminye imithi.
- Ukulala: Ukulala kahle kubalulekile empilweni yengqondo. Zijwayeze ukulala nokuvuka ngesikhathi esifanayo nsuku zonke. Gwema ukusebenzisa ifoni yakho noma ukubuka i-TV ngaphambi kokulala bese wenza okuthile okuphumuzayo, njengokufunda incwadi.
- Ukudla: Yidla ukudla okunempilo. Nciphisa amaswidi nokudla okusheshayo ngangokunokwenzeka. Faka izithelo, imifino, kanye nemifino eminingi ekudleni kwakho.
- Ukuxhumana nabantu: Ungazihlukanisi, khuluma nomngane omethembayo noma ilungu lomndeni ngalokho okusengqondweni yakho.
- Izinto ozithandayo: Thatha into obuyijabulela. Dweba, lalela umculo, lungisa ingadi. Ngisho nento encane ingakulethela injabulo.
- Imvelo kanye nokukhanya kwelanga: Ukuthola ukukhanya kwelanga okuncane nsuku zonke akugcini nje ngokuhlinzeka nge-vitamin D, kodwa futhi kuthuthukisa isimo sengqondo.
Ezinye izindlela zokwelapha
Kunezinye izindlela zokwelapha ezithile zokucindezeleka okukhulu ezingasabeli kahle emithini nasekwelashweni kwengqondo.
- I-ECT (Ukwelashwa Nge-Electroconvulsive):Lokhu kuyindlela yokwelapha ephephile kakhulu futhi ephumelelayo eyenziwa ngaphansi kwe-anesthesia. Isetshenziselwa ukunikeza impumuzo esheshayo kulabo abacindezeleke kakhulu kanye nemicabango yokuzibulala.
- I-rTMS (Ukuvuselela Okuphindaphindwayo Kwe-Transcranial Magnetic): Lokhu kuhilela ukuvuselela izindawo ezithile zobuchopho kusetshenziswa amaza kazibuthe.
- I-VNS ne-DBS: Lezi izindlela zokwelapha ngokuhlinzwa ezisesesigabeni socwaningo.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akulona iphutha lakho noma ubuthakathaka. Kuyisifo sangempela esidinga ukwelashwa.
- Akudingeki uhlupheke wedwa. Cela usizo. Isinyathelo sokuqala, bona udokotela omethembayo.
- Kunezindlela zokwelapha ezisebenzayo. Imithi, ukwelashwa kwengqondo, kanye nokushintsha indlela yokuphila kungakusiza ukuthi ululame.
- Ungalokothi uyeke ukuthatha imithi yokucindezeleka ngaphandle kweseluleko sikadokotela.
- Kukhona abantu abakuthandayo nabakukhathalelayo. Khuluma nabo. Khumbula ukuthi awuwedwa kulolu hambo.
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